Individual
DR. KUNAL UTTAM GURAV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1034 S BRENTWOOD BLVD STE 694, SAINT LOUIS, MO 63117-1206
(314) 557-2620
(833) 973-4441
Mailing address
1034 S BRENTWOOD BLVD STE 694, SAINT LOUIS, MO 63117-1206
(314) 557-2620
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2020012718
MO
207R00000X
Internal Medicine Physician
2023-01889
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
75069
GA PROVIDER LICENSE- MD
GA
Enumeration date
03/27/2010
Last updated
07/22/2025
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